This provider's $48.0M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 553% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 422% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $2.4K | $554.56 | 4.39x | $1.9K | $940.5K | 1.7K | 12 |
| 2015 | $2.8K | $669.36 | 4.15x | $2.1K | $1.1M | 1.7K | 10 |
| 2016 | $6.7K | $2.0K | 3.39x | $4.7K | $5.9M | 3.0K | 17 |
| 2017 | $6.7K | $2.0K | 3.32x | $4.7K | $6.2M | 3.1K | 19 |
| 2018 | $6.6K | $2.1K | 3.18x | $4.5K | $6.2M | 3.0K | 21 |
| 2019 | $6.5K | $2.0K | 3.27x | $4.5K | $5.0M | 2.5K | 15 |
| 2020 | $8.8K | $2.3K | 3.86x | $6.5K | $5.0M | 2.2K | 14 |
| 2021 | $9.4K | $2.5K | 3.74x | $6.9K | $5.2M | 2.1K | 15 |
| 2022 | $13.4K | $3.5K | 3.84x | $9.9K | $6.2M | 1.8K | 16 |
| 2023 | $15.0K | $3.9K | 3.87x | $11.2K | $6.1M | 1.6K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 1.0K | $17.9M | $17.5K | 3.45x |
| 66984 | Removal of cataract with insertion of prosthetic lens | 10.2K | $7.7M | $751.32 | 3.66x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 2.1K | $7.2M | $3.4K | 3.25x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 552 | $6.6M | $12.0K | 3.57x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 177 | $1.5M | $8.7K | 3.02x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 197 | $1.5M | $7.4K | 3.81x |
| 27279 | Fusion of pelvic joint using imaging guidance | 64 | $764.3K | $11.9K | 3.77x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 2.5K | $465.2K | $186.54 | 5.02x |
| 67917 | Extensive repair of turning-outward eyelid defect | 898 | $408.3K | $454.65 | 6.28x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 536 | $399.5K | $745.39 | 3.71x |
| 0191T | Internal insertion of eye fluid drainage device | 203 | $356.4K | $1.8K | 2.27x |
| 67904 | Repair of tendon of upper eyelid | 861 | $339.4K | $394.21 | 7.23x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 827 | $337.2K | $407.77 | 6.29x |
| 22612 | Fusion of spine in lower back | 34 | $307.2K | $9.0K | 3.55x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 135 | $278.0K | $2.1K | 3.58x |
| 67900 | Repair of brow paralysis | 702 | $264.9K | $377.29 | 7.47x |
| C1822 | Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system | 12 | $260.5K | $21.7K | 1.28x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 18 | $258.7K | $14.4K | 3.80x |
| C9752 | Destruction of intraosseous basivertebral nerve, first two vertebral bodies, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum | 24 | $171.0K | $7.1K | 3.65x |
| 67041 | Removal of membrane from the retina | 119 | $152.1K | $1.3K | 4.73x |
This provider submits charges 3.59 times higher than what Medicare actually pays.
A markup ratio of 3.59x means for every $100 Medicare pays, this provider initially charges $359. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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